Ch. 1 and 5- Nursing Process and Med Errors

Question 1

List the 9 Rights of Medication Administration

Answer 1

Right:
Drug
Dose
Time
Route/Form
Patient
Documentation
Reason/Indication
Response
Right to Refuse

Question 2

Define:
Adverse Drug Event
Adverse Drug Reaction

Answer 2

EVENT: All types of clinical problems related to medication use, errors, reactions, etc.

REACTION: unexpected, unintended, or excessive responses to meds given at therapeutic doses

Question 3

Are the following predictable or unpredictable:

Allergic reaction
Idiosyncratic reaction

Answer 3

Allergic: often predictable
Idiosyncratic: often unpredictable

Question 4

What is the most common point in the nursing process where medication errors occur?

Answer 4

Administration

Question 5

Explain High Alert meds

Answer 5

Require special care/attention when administering due to high toxicity risk

Question 6

Are high alert meds involved in more med errors?

Answer 6

Not necessarily, just have a higher harm potential

Question 7

Explain SALAD

Answer 7

Sound-Alike, Look-Alike Drugs

often mistaken for one another

Question 8

Does technology prevent med errors?

Answer 8

NO

Question 9

What are the steps to responding to med errors?

Answer 9

1. Assess the patient
2. Report to prescriber and nursing management
3. Follow hospital incident report protocols
4. Document the Incident… avoid “error”, just state what you did and what happened

Question 10

When should medication reconciliation occur?
What are the 3 steps of medication reconciliation?

Answer 10

At entry and exit to healthcare entity

Verification: collection of their med info focusing on current meds

Clarification: personal review to ensure meds/doses are appropriate

Reconciliation: investigate discrepancies/changes in orders